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The Journal of Arthroplasty, ISSN: 0883-5403, Vol: 25, Issue: 2, Page: 191-196
Hip
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The Cost-effectiveness of Routine Follow-up After Primary Total Hip Arthroplasty
Bolz, Katharina Maria Dorothea; Crawford, Ross W; Donnelly, Bill; Whitehouse, Sarah L; Graves, NicholasHip
Routine postsurgery assessment of primary total hip arthroplasty (THA) is recommended in many countries. Whether the benefits of this activity are justified by the costs is not known. We used a decision-analytic Markov model to compare the costs and health outcomes of 3 different follow-up strategies after primary THA. If there is no routine follow-up of patients for 7 years after primary THA, there would be cost savings between AU$6.5 and $11.9 million and gains of between 1.8 and 8.8 quality-adjusted life years. Policy makers should investigate less resource-intensive alternatives to common routine postsurgical assessment.
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